Clinical audit.
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Biomedical subjects
Publications and source records attributed to G Harvey.
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Since publishing its guidelines on the management of venous leg ulcers last year, the RCN has worked steadily to implement and audit both the guidelines, and their impact.
Care pathways are increasingly being used in the UK as a tool for managing clinical processes and patient outcomes. This article describes some of the key elements of care pathways, highlights factors in successful implementation and discusses some concerns about their use.
Many nurses in a variety of clinical settings are facing the challenges posed by incorporating evidence-based practice in health care. Some of the steps involved in implementing evidence-based care in clinical practice are discussed and a two-step framework to assist practitioners in implementing evidence-based practice is outlined. Factors such as the relevance of specific guidelines or research, generalisability of research findings, the strength of the evidence relative to the risks and benefits of treatment, and patient preferences are discussed in terms of evidence-based decision making.
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A needs analysis was completed for parents in six municipalities in Quebec in order to define population needs with respect to physical activity practices. There was a clear parental preference for activities at the same time as those of their children, either with or separate from them. The parents also noted their preference for outdoor, noncompetitive and unsupervised activities. These results agree with similar studies done elsewhere and will guide the development of a program promoting family activities at the municipal level.
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Complementary nursing was developed in response to the need for maintaining high quality care while controlling health care costs. The complementary nurse provides comprehensive management of complex patients through an entire episode of an acute illness, to transition them back to a prehospital state through interdisciplinary discharge planning. In this article, the authors describe the process used in developing and implementing this new integrated role of acute care case management. The article contains role responsibilities, communication tools, and lessons learned from experience.